Active NPI
Dr. William Bradley
- Optometrist
- Mobile, AL
National Provider Identifier
1508928664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DR. WILLIAM BRADLEY
- Practice address
- 3291 Bel Air Mall
Mobile, AL 36606-3207 - Phone
- (251) 476-2015
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Bradley, OD
- Title
- Owner
- Phone
- (251) 476-2015
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3291 Bel Air Mall
Mobile, AL 36606-3207
Mailing address
3291 Bel Air Mall
Mobile, AL 36606
Phone (251) 476-2015
Other names 1
- Bradley EyeCare and Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Mobile, AL
- NPI 1952461279
-
- Optometrist
- Mobile, AL
- NPI 1558564401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340668800000",
"number": "1508928664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3291 BEL AIR MALL",
"city": "MOBILE",
"state": "AL",
"postal_code": "36606",
"telephone_number": "251-476-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3291 BEL AIR MALL",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063207",
"telephone_number": "251-476-2015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. WILLIAM BRADLEY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2012-06-26",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-476-2015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bradley EyeCare and Associates",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.